02Jul 2024
Use of Cervical Fascia to Prevent Pharyngocutaneus Fistula After Total Laryngectomy

Use of Cervical Fascia to Prevent Pharyngocutaneus Fistula After Total Laryngectomy

This study compares pharyngocutaneous fistula (PCF) rates in patients undergoing total laryngectomy with and without cervical fascia flap reconstruction for Stage 3 and 4 squamous cell laryngeal cancer. Among 43 patients analyzed, PCF occurred significantly less in those with the flap (4.5%) compared to those without (33.3%). Factors like age, sex, and comorbidities did not differ between groups. The flap demonstrated a moderate negative correlation with PCF risk, highlighting its efficacy and practical benefits in reducing post-operative complications.

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